| Doctor Name: | RIMA JIBALY |
| NPI Number: | 1356454284 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD BS |
| License Number: | 4301069514 |
| Business Practice Address: | 1123 Villa Linde Ct Flint, MI - 485323410 |
| Business Phone Number: | 8107337221 |
| Business Fax Number: | 8107337280 |
| Mailing Address: | 7408 Waterfall Dr, GRAND BLANC |
| State: | MI |
| Postal Code: | 484397102 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/16/2006 |
| NPI Last Update Date: | 02/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 4301069514 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |